1317 Applications & Permits Y OF NORTHRMFTOPI
TEL f1o . 1-415-high-orzo
THE COMMONWEALTH OF MAWTAOHV6ETTo
BOARD OF HEALTH
_CITYoF Iv U.I:l.L1:I6(0101
Applirtttiva for 39iupunal ItLurkn elnunlrttttiatt prnutt
) or Repair
Application Is hereby made for a Peemit to Connrvct
(
Application ) gl Indivdual Sewage Ditrwal
Spaeth /: ..
Jr
rrt..t gr- AT
Type of Building
Dwelling—No. of Bedrooms
0. Omer Tyre of Building
% Other IV allon•Per pawn per 4y. Tot daily now, fL5 gallon).
Design Flow o _ aligns Length, Width Diameter .. Depth
0 Septic Tmmncliquid— 'al°cis!' Width Total Length Total leaching AMR._ . . . N.It.
Seepage Trento—No. Depth below into Total leaching arev-. Hh ft.
Other ytr No Dlmnewe.. P /
Oercr anon utt hoc ( ) Swing Milk (9-if y4 DM -5;//c?Y ��
,X-, T c Results Perlornter by of Test !o'� "'g
Percolation a Dealt to ground water
`{ Tett Pit No. I minutes per inch Depth of Tat Pit Depth to ground water,
� Test Pit No.2 minutes per itch Depth of Tett Pit I Bro
pp q j ( fz e0/ y
IN LP1-1.4'..,$. . S Ben,,. ,f// FY
Size LoL...c.e... ........_.Sq. lees
3
Expansion ion Attic ( ) ;annge Grinder (x)
persons No of n
Showers ( ) —Cafeteria ( )
_
.,La Ke
Deadption of Soil
�y Nature of Repair.or Alterations--Answer wilco uppCuN
Agreement:
in accordance with
The undersigned agrees to install me aforedeltrIbed Individual Sewage DHposal a mt to place the anc em to
bed further agrees Pace
the ration ions of CLT6C a of the state Sanitary be node— 6 the{ward of htseh.
(t-
operation until a Certificate d Gomp4.s."fiat.ii-: Q. Y I 717077
(a
IP f / ... .
Application Approved By.
ApptiCtiom Disapproved for the plieudolg rearms'
Permit No % €(317'
Igued
c .1t
THE COMMONWEALTH OF MAsSACHUSrTTa
BOARD OF HEALTH
CITY oFNORIHAMPTON
(grrtifiratr of ((Laatpliautr ( Repair d
THIS IS T CERTIF((}}++•,//'pp//�hat the�[dIndividual Sewage Dierowl 5yntent constructed
. .__a-^/t C/� '' //,r�t11` J
Lr1' 111 e Slate $m I y (,aide.
tie
by u"
t TSTITj I
own for NOT /� ' Ne
THE ISSUANCE of'TIM CERTIFICATE SHALL NOT BE CONS
at been i„naned in see In. e the provisions el r} dated Y-t t)
.ppli f Digwsnl Wurk Co a chat 6{111 Penult No C T ED S
SYSTEM WILL nFFUN TIOI TISFACTORY.
DATF mg!..lf
Inspector.
)
ni the
T THE
Till COMMONWEALTHI of MASBACIIIIBCTTs
BOARD OF HEALTH _
CITY OF..NIlBAtdRTOPI..., i.l
�g !.� rlt�S
No.._/
3AtTlpnnad ftit'llu Out(4lctttlitttt ii'-f-et^^--` S
`k �i
pemngb( is hyreby at ( vl I p - sal Systed 1,.....)�n-
m NonMrna (t✓YgJ Re�si J( ) rj n(daal fi ll a r Y x
No y h
at { "( etc . ... •;41/4 .l%
gl Works Conshuction Permit NJ:rig . D d ^(
as shown on the application for Dispo -*
BS tNitta
fah
PIUK IHHMPTi]PI
TEL Hu -413-586-3726 Jun 6 ,95
3 : 19 No .006 P .03
Paz..._........._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Or HEALTH
CITY or NORTHAMPTON
pplirutiun for Biupinuut IiI'oda ftuuutrurtinu Frrutit
pliation is hereby made for a Permit to Construct Q( ) or Repair
yatem at
WESTHAMPTON ROAD
Joyner t11tT'j d:elomes
o.as.
m.uo.r
Type of Building
Dwelling No. of Bedrooms
Other—Type of Building
°the factures
an Individual Sewage Disposal
1058 Russell Rt KQWestfteld,Mtasi
AMrm
A"a"^ 40 688
0 Size Lot Sq. feet
Expansion Attic ( ) Garbage Grinder ( X)
rr
Na of pet sons Showers ( ) — Cafeteria ( )
)esign Flow 11 U gallons pei.pdolbo°prr day. Total daily flow 445 gallons
r"w
Septic Tank1—lVtuid wp1cily ga11ut1c8 Length Widljr Diameter p th....__q..ft.
)isposal)3x' 9iK a—No. Width ToW Length ToW leaching area 6 U aq. ft.
ieefuge Pit No Diameter Depth below inlet Total leaching area. sq. ft.
)ther Distribution box (X ) Dosing tank ( ) June 4, 1 984
Percolation Test Results Performed by!.N..Wet k n s a Datecont I neat ion of
r M'ay299, 19°
Test Pit No. 1._$.� minutes per inch Depth of Test Depth to ground waters.}
Tut Pit No. 2 minutes per inch Depth of Test Pit_.............__. Depth to ground water
Description of Soil
5ee`plan
Nature of Repairs or Alterations—Mower when applicable
Agreement;
The undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with
the provisions of Article X1 of the State Sanitary Code—The undersigned further agrees not to place the system i n
operation until a Certificate of Compliance has been issued by the board of health.
Signed
Application Approved By
Application Disapproved for the following reasons
FAH
oils
Doh
Permit No Issued.
Ost.
No
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Appliratinn for 3tispnsal 11 inks (IIunstrnrtion Permit
le J Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Sy at:
ale arreali
112M--w'se-"'s""" Address �/� q�
Installer _'7v R i ..S feet
Type of Building 3 Size Lot:4K....1... ... ..... q. X
Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building No. of persons Showers ( ) — Cafeteria ( )
Design Flow BO allons per person per day. Total daily flow if Other fixtures lions
Septic Tank—Liquid capacity/allons Length Width Diameter Depth
Disposal Trench--No. Width Total Length Total leaching area sq. ft.
Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft.
Other Distribution box ( ) Dosing tank (9.:
Percolation Test Results Performed by "--'
Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water
Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water
S
or Lot No.
Address
Date 5/,
Description of Soil 5-c.
Nature of Repairs or Alterations—Answer when applicable
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance ha be• i s, by thy ogiy1 oy Ith.
Application Approved By
//IW%-
igne
Application Disapproved f or the fallowing reasons'
Permit No 9 - Issued. fie/
# .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
CITY op-NORTHAMPTON
(grit-Wirer of Tamp liana
THIS IS TO CERTIF )hat th-,Individual Sewage Disposal System constructed (/.....)/Eintepaired
at y 1 ( )
tor-4...
rt. , A - r i mstaii
has been installed in accordab e with the provisions of TIT I e OPOlateState Sanitary Code der in the
application for Disposal Works Construction Permit No 41.-16. dated grAr 43-ke--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST ED S A GUARAN T T THE
SYSTEM WILL FUN TIO TISFACTORY.
DATE a/ if Inspector
THE COMMONWEALTH OF MASSACHUSETTS fl' ' -----
BOARD OF HEALTH
CITY OF NORTHAMPTON n -
No / /
nitipuffal III nrkg Taman:tun jrrmit
Permission is hpby granted v.
to Construct (14ror RTair i( ) anIndividual Sew,age Disposal Systed
f/
Street a-
as shown on the application for Disposal Works Construction Permit 115:„..,..4.iti.f_ Dad ' J
!
iiii re(
.
DATE /1/Lv-;,.- - - - --' (1. 7 / /1 Be46f Health
/
FORM 1255 A. M. SULK1N, INC., BOSTON